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I Safety and Buildups Million Corry Dane <br /> • <br /> -: 201 W.Ms at WI PA 80x 716 Smay Peak Number(to be Bbd in by Co.) <br /> r'e)—ZOIte— o0ZLi$ <br /> Sanitary Permit Application SweTrametionNumber <br /> b womb=with SPS310.2tt2),Win Ada Code.s on Watts than to lho wiropriato garstwoodal uuit <br /> icagniad prior w dominion.sr kw?Noah.Nato Application bans bratnewrorcdPOWTSmw kilt dto Project Addicts(if Rama than waning sdckewl <br /> the Depafaaot of Slaty aodPmfmst ad Sonia.Pentad b brnedmyosprorldeway hawed lbre eostbiy <br /> mmmiraamdaaeaBb Prima'Lot.Ir.= a&SIes Hau t Road(Old Hwy 7 d) <br /> > "°°—`"a > ttll'' t" RECEIVED <br /> Mark S Rosenbaum 0512-274-8380-0 <br /> Proms Ownry.;Maltby Address AUG 17 2015 PmpatyLoeaton <br /> 972 State Highway 138 ma C Oovt.L t <br /> CIO.Slate 4 e Env. <br /> nv+Ybnmenfal Health NE ta, SE sk,.smsim 27 <br /> Stoughton WI II.Type otSnNdl (dwelt dl that type) 53588 Lott <br /> t 5 A R 12( ar ej <br /> ❑t or2 Fatally Dwelling-Mmba oraedoaws 2 Subdivides Name <br /> Siadc! <br /> ®Pub9dcoameae iN-Dem a tho Office/Shop ❑ or <br /> ❑Stow Owned-Otscribalm CSIdNombe ❑YnlsSeof <br /> 13067 ®Town ot Albion <br /> III.Type of!wale(Meek only au boa as'ibie A.Complete lbw 11 if applicable) <br /> rt ®.New Spoon 0Replarma*BSywea OTmamenniletdtg Tank b Only 0 Mar ModirrradwttoEzlpiegysimtoroidal) <br /> B. 0 Push Renown ❑Newt Bmtldm 0 Chew ofPimdter 0 Pamk Tama%to New Lilt Pmvbou Posit Nuabaaad Dale tmad <br /> Beftw lrpltNbm Order <br /> IV.Type tlDorfea_(Gback debstepph) <br /> ES Nm-PnsssbdlaOoma 0 Pftwarbad loGmsd 0Al-Owde ❑bbmd>1l ho.of eatable soil ❑Nomad<14iwatmableson <br /> ❑Holding Tank 0 Other 06peoat Component tesplkt) 0Pmeaamwtt Davin popish) <br /> V. tArea lafnrmtttlou <br /> Dabs Flow Gpd) Des*Sall Application RaOld 8 Dot Ares lspbal t ) Mama!Ann P sud is t) Spasm Elayrioa <br /> 234 0.4 <br /> 585 588 852.0' <br /> Vl.Tank lab Cpeellyla Tad Rot itwminser $� <br /> Onthas OsTato &iftermes Calkins 11 1 l 1 AI s <br /> ........-.4,-k 1000/300 1300 1 Dalmaray x <br /> bmhsOwnewr ] I I I <br /> V)L Ressess Wty eestemmt-k the oadwilpad;mauve rasposatbility kr 4amwian arum POW/3*awn an tha ai.tld pima. <br /> Pim6a'sNmteleriive) MPO/PRStMmber brim Moe Number <br /> Ate/1 /i:04/.=4446,,,, 2) Z/Z`d' C6h' i73-6'oo8 <br /> PMahheerAddas Maw.CRP.Stall.Zip Code <br /> ' 72- eir7`e/6 ,fn 13 8 5-74b45).4 fw^. w/ <br /> .4—'5 S 99 <br /> �trt7Dtouot aan• <br /> O e .d Pe Pea oaabb> bIBKAYit O OwnrOam Rama br OWN 4.5'9 (3-2.4-20% 4 <br /> — <br /> IX.Conditions if Approval/Ramat far Disapproval <br /> 12 4Ay►lorefi x 1 3 6Pp =.. is-i. ..PD <br /> 2----.W-e41) 7 ..t <br /> Mash tsaapaiiiihaishothemacs o lmaeMmatka.tyasfy capgsraataw t to a tl Wallach <br /> S9D-6398(7tiUl)) __ <br />